Facelift - Ask a Surgeon

Thank you so much for your question.

First of all, I am sorry to hear that this is occurring. Skin flap necrosis following a facelift is a known complication and happens a certain percentage of the time despite your lack of risk factors and your surgeon's experience. The treatment for this complication is to leave the area alone and apply antibiotic ointment (neosporin). It should heal in on its own and often will leave a satisfactory appearance. Debridement would be overly aggressive for this issue.

Thank you again for your question and best of luck.

Before answering a question like this I would need to know more about your previous surgery like why was it done, how long ago, were there any complications of that surgery, etc. Ideally, a personal exam would have to be performed before making any firm recommendations but even photos would be helpful. That being said there are some new technological advances that have been made in the arena of skin tightening ,such as Renuvion and FaceTite devices that may be helpful in your situation.

The short answer is "yes." In my practice, full facelift (cheek, jowls, and neck) is regularly performed under general anesthesia. Our mini facelift is designed to correct sagging in the cheek and jowl, and is commonly done under local anesthesia, usually with supplemental oral medications. Our patients are offered the choice of anesthesia and oral medications.
The consultation with your chosen surgeon is the time to discuss your concerns and desires, to have him or her evaluate your anatomy and suggest the most effective way to accomplish your goals. When a mini facelift is best, local anesthesia can be an excellent choice. Best Wishes.

Yes it can, but ultimately you will need a consultation to address your goals. Sometimes the term mini face lift is applied loosely and the patient will need a full facelift.

A mini face lift and even a brow lift, face and neck lift can be performed under local anesthesia and sedation, the ideal patient for this particular type of anesthesia, will be one, with a good health and a normal blood pressure.